Healthcare Provider Details

I. General information

NPI: 1699391110
Provider Name (Legal Business Name): LC QUALITY STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2020
Last Update Date: 06/20/2020
Certification Date: 06/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 HAYES AVE
WHITMAN MA
02382-1052
US

IV. Provider business mailing address

22 HAYES AVE
WHITMAN MA
02382-1052
US

V. Phone/Fax

Practice location:
  • Phone: 508-345-2953
  • Fax:
Mailing address:
  • Phone: 508-345-2953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CINTIA CENTEIO
Title or Position: CO-PRESIDENT
Credential: RN
Phone: 508-345-2953